Cannonball Clinic in Cannonball, ND - Clinic/Center

Cannonball Clinic is a primary clinic (Clinic/center - Public Health, Federal) in Cannonball, North Dakota. The current practice location for Cannonball Clinic is 6998 Weasel Street, Cannonball, North Dakota. For appointments, you can reach them via phone at (701) 854-3831. The mailing address for Cannonball Clinic is Po Box J, Fort Yates, North Dakota and phone number is (701) 854-3831.

Cannonball Clinic is licensed to practice in * (Not Available) (license number ) and its NPI number is 1336286798. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (701) 854-3831.

Contact Information

	Cannonball Clinic
	6998 Weasel Street Cannonball ND 58528
	(701) 854-3831
	(701) 854-7411

Primary Care Clinic Profile

Full Name	Cannonball Clinic
Speciality	Clinic/center - Public Health, Federal
Location	6998 Weasel Street, Cannonball, North Dakota
Authorized Official Name and Position	Jana Rhea Gipp (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact	7018548211
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cannonball Clinic Po Box J Fort Yates ND 58538-0527 Ph: (701) 854-3831	Cannonball Clinic 6998 Weasel Street Cannonball ND 58528 Ph: (701) 854-3831

NPI Details:

NPI Number	1336286798
Provider Enumeration Date	02/01/2007
Last Update Date	08/09/2018

Medical Identifiers

Medical identifiers for Cannonball Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336286798	NPI	-	NPPES
1459056	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP0904X	Clinic/center - Public Health, Federal	(* (Not Available))	Primary

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Cannonball Clinic - Primary Care in Cannonball, ND